COVID-19 VACCINE, TESTING AND OTHER RESOURCES (including consent forms)
April 05, 2021
COVID-19 Vaccine Consent Forms
Consent Form English: Consent - English
Consent Form (Español): Consent - Español
Consent Form (Creole): Consent - Creole
Who is eligible to receive a vaccine?
ALL PERSONS 18 YEARS OF AGE AND OLDER ARE ELIGIBLE TO RECEIVE THE VACCINE IN FLORIDA
As of Monday, April 5, all Florida residents shall be eligible to receive any COVID-19 vaccine as prescribed by the Food and Drug Administration.
PERSONS AGES 16-17: The Pfizer vaccine is authorized for persons age 16 and up. The Moderna and Janssen (Johnson and Johnson) vaccines are authorized for persons age 18 and up. All individuals under the age of 18 receiving a vaccine must be accompanied by a guardian and complete the COVID-19 vaccine screening and consent form. To download a copy of the form, click here.
I am a caregiver, when can I be vaccinated?
All Florida residents are now eligible to receive any COVID-19 vaccine as prescribed by the Food and Drug Administration. The Pfizer vaccine is authorized for persons age 16 and up. The Moderna and Janssen (Johnson and Johnson) vaccines are authorized for persons age 18 and up.
How do I make an appointment for a vaccine?
Pre-registration for vaccines is available at https://myvaccine.fl.gov/ or by calling
866-201-0712 or TTY 833-476-1462.
Publix is now offering COVID-19 vaccination at all five Bay County locations. To check availability or make an appointment, visit https://www.publix.com/covid-vaccine.
Walmart is offering COVID-19 vaccines at all five Bay County locations through the federal pharmacy program. To check availability or make an appointment, visit walmart.com/COVIDvaccine.
Winn Dixie is offering COVID-19 vaccines at two Bay County locations. To check availability or make an appointment, visit https://www.winndixie.com/pharmacy/covid-vaccine.
The Florida Department of Health has created a vaccine locator site at https://floridahealthcovid19.gov/vaccines/vaccine-locator/.
Please remember that there are tens of thousands of people trying to register at this time for a limited number of vaccines. This is a historic mass vaccination effort. It is going to take some time to vaccinate everyone who wants to be vaccinated. Your patience and understanding are essential and appreciated.
I am a health care provider (Dental Office, General Practitioner, etc.) not affiliated with a hospital.Where/How/When can I sign up to receive a COVID-19 vaccine?
DOH-Bay is also working to provide vaccine to frontline healthcare workers who are not affiliated with a hospital. Please complete the COVID-19 Vaccine Planning Survey if you are not receiving the vaccine from a parent company or hospital. You will want to coordinate appropriately within your practice to ensure there is only one reply per organization.
Moderna Information Card: Moderna Info
For a PDF of vaccine information in Bay County, click here.
For a PDF of commonly asked questions and answers, click here.
(Please note these .pdf files will open in a new window)
Free Shuttle for those with COVID-19 Vaccine Appointments
The Bay County Board of County Commissioners, the Bay County TPO, and the Florida Department of Health in Bay County are providing a FREE shuttle for those with scheduled appointments from the Callaway Walmart bus stop location (Bus Stop #312) to the Callaway vaccination site located at the Callaway Arts and Conference Center, 500 Callaway Parkway. To learn more, visit https://www.baytowntrolley.org/covid-shuttle/.
Do I need to be a resident of Florida to receive the COVID-19 vaccine?
State Surgeon General Scott Rivkees issued a Public Health Advisory on January 21 prioritizing vaccines for residents of the State of Florida or individuals in Florida for the purpose of providing health care services involving direct contact with patients.
To prove residency an adult resident must provide a copy of his or her valid Florida driver license or a copy of a valid Florida identification card.
Seasonal residents may provide a copy of two of the following to show proof of residential address:
- A deed, mortgage, monthly mortgage statement, mortgage payment booklet or residential rental or lease agreement.
- One proof of residential address from the season resident’s parent, step-parent or legal guardian or other person with whom the seasonal resident resides and a statement from the person with whom the seasonal resident resides stating that the seasonal resident does reside with him or her.
- A utility hookup or work order dated within 60 days before registration.
- A utility bill, not more than 2 months old.
- Mail from a financial institution, including checking, savings, or investment account statements, not more than 2 months old.
- Mail from a federal, state, county, or municipal government agency, not more than 2 months old.
Seasonal resident means any person who temporarily resides in this state for a period of at least 31 consecutive days in each calendar year, maintains a temporary residence in this state, returns to the state or jurisdiction of his or her residence at least one time during each calendar year, and is registered to vote or pays income tax in another state or jurisdiction.
COVID- 19 Testing
Other COVID-19 Testing Options
The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people of all ages. Fear and anxiety about the unknown can sometimes feel overwhelming to adults and children. Coping with stress will make you, the people you care about, and your community stronger. If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call Bay County's Crisis line at (850) 522-4485.
The United Way of Northwest Florida is providing information on public services and resources available in our area including food banks. Please visit their dedicated webpage at http://unitedwaynwfl.org/covid-19/. You may also utilize their 211 service for referrals, just call 211 from any phone or visit https://211nwfl.communityos.org/.
Rebuild Bay County may have resources available to assist persons in need. Visit https://rebuildbaycounty.org/for more information.
Convalescent Plasma and Blood Donations
OneBlood is working closely with the Florida Department of Health and directly with their hospital partners and physicians to identify people who have recovered from COVID-19 to be potential donors.
There is also always a need for blood donations. OneBlood is testing all blood donations for coronavirus antibody. Results will be available online within 24 to 48 hours. Appointments are recommended. To learn more visit www.oneblood.org.